Candidate’s Qualification: Not a Thai citizen, nor of Thai nationality Excellent academic record (preferably ranked within top 20 percent of the class) Meet qualifications of SIIT graduate programs admission (http://www.siit.tu.ac.th/graduate_introduction_en.htm) Strong recommendations Have good health and good conduct Must not be a recipient of another type of scholarship except the TAIST and JAIST scholarships.

Download an APPLICATION from the website: http://www.siit.tu.ac.th

Submit the completed application to SIIT Admission and Public Relations Division

By 17 September 2012

Announced by SIIT Student Affairs and Alumni Relations Div. : 21-AUG-2012

** for prospective students admitted in the 2nd/2012 Semester (Nov. 2012)

Graduate Scholarship Program

for Excellent Foreign Students (EFS)

Scholarship: Available for all SIIT Curriculums Full tuition and educational support fees (full thesis support) Living allowance and accommodation Other benefits (details on the website)

For Staff only

School [ ] BCET [ ] CET [ ] ICT [ ] MT [ ] MSME [ ] COMMON

SIRINDHORN INTERNATIONAL INSTITUTE OF TECHNOLOGY

THAMMASAT UNIVERSITY

APPLICATION FOR GRADUATE PROGRAMS

Application Number

Note to Applicant: Please type or write clearly in English block letters.

1. PERSONAL INFORMATION:

Name of Applicant: Mr./Ms./Mrs. ----------------------------------------------------------------------------------------------------------------

First Middle Last

--------------------------------------------------------------------------------------------------------------------

In Thai

Date of Birth : -----------/----------/----------- Age : --------------- years Country of Birth : ----------------------------------------- Date month year

Country of Citizenship : ----------------------------- Mailing Address : -------------------------------------------------------------------

--------------------------------------------- City: ---------------------------------------------- Country: --------------------------------------------

Postal Code: ------------------------ Telephone: -------------------------------- e-mail: -------------------------------------------------------

2. PROGRAM:

[ ] Master of Science (Engineering and Technology)

[ ] Master of Engineering in Engineering Technology

[ ] Master of Engineering in Logistics and Supply Chain Systems Engineering

[ ] Master of Engineering in Information and Communication Technology for Embedded Systems

[ ] Doctor of Philosophy (Engineering and Technology)

Field of Interest: ……………………………………………………………………………………………………………………….

3. EDUCATIONAL BACKGROUND:

3.1 Undergraduate (Bachelor) Qualification:

------------------------------------------------------------------------------------------- --------------------------------------------------------- Name of Institution Location (City, Country)

------------------------------------------------------- ---------------------------------------------------------- ------------------------------- Period (mo./yr. - mo./yr.) Degree Major Subject

------------------------------------------------------------- ------------------------------------------------ ----------------------------------- Scholastic Honors, Prizes or Honors Class Grade Point Average Class rank/No. in Class

3.2 Graduate (Master) Qualification (if available):

------------------------------------------------------------------------------------------- --------------------------------------------------------- Name of Institution Location (City, Country)

------------------------------------------------------- ---------------------------------------------------------- ------------------------------- Period (mo./yr. - mo./yr.) Degree Major Subject

------------------------------------------------------------- ------------------------------------------------ ----------------------------------- Scholastic Honors, Prizes or Honors Class Grade Point Average Class rank/No. in Class

---------------------------------------------------------------------------------------------------------------------------------------------------------

2x3 cm.

Photograph

taken within

6 months

4. EMPLOYMENT HISTORY:

Please list your work experience starting with most recent employment.

a) -------------------------------------------------------- ------------------------------------------------- -------------------------------------------- Employer Location Date(mo./yr. - mo./yr.)

--------------------------------------------------------------------------------------- -------------------------------------------------------------- Nature of Employer’s Activities Your Job Title

b) -------------------------------------------------------- ------------------------------------------------- -------------------------------------------- Employer Location Date(mo./yr. - mo./yr.)

-------------------------------------------------------------------------------------- --------------------------------------------------------------- Nature of Employer’s Activities Your Job Title

5. ENGLISH PROFICIENCY:

Written: [ ] Excellent [ ] Good [ ] Fair [ ] Poor

Spoken: [ ] Excellent [ ] Good [ ] Fair [ ] Poor

Result of English Proficiency test TOEFL ………… TU GET ………. IELS ……….

6. MEDICAL STATUS:

Please summarize your health and medical history. List any physical handicaps, recent treatment by a physician or

psychiatrist, mental health indicators or other relevant information.

------------------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------

7. FINANCIAL SUPPORT:

7.1 Are you applying for a scholarship?

[ √ ] Yes [ ] No

If yes, which type of scholarships? Graduate Scholarship Program for Excellent Foreign Students (EFS)

7.2 If not granted a scholarship, do you have financial support for your study at SIIT?

[ ] Yes [ ] No

If yes, it is from:

[ ] External Sponsor [ ] Self or Family [ ] Other: ------------------------------------------------------------

Name of Sponsor: -------------------------------------------------------------------------------------------------------------------

I certify that all the statements given above are absolutely true.

Applicant's Signature : ---------------------------------------------------------------- Date ------------/-------------/------------

Mailing Address:

Graduate Admission Officer

Graduate Study Section, Admission Office

Sirindhorn International Institute of Technology

Thammasat University, Rangsit Campus

P.O. Box 22, Thammasat Rangsit Post Office

Pathumthani 12121, Thailand

Application Documents

Supporting Documents Check

[ ] 1 copy of official transcript – Bachelor Degree

[ ] 1 copy of official transcript - Master Degree (if available)

[ ] 1 copy of official certificate of English proficiency

(TOEFL, IELS, or TU GET)

[ ] 2 letters of recommendation (from advisor of Bachelor and

Master’s Programs)

[ ] Recent Photograph (1 copy of 1”x1” size)

[ ] 1 copy of citizen ID card/passport

[ ] Application fee (500 Baht)………………………………………

[ ] Others ...........................................................................................

Officer’s Signature ..............…................................................................

Date:.....................................................

[For Staff only]

SIRINDHORN INTERNATIONAL INSTITUTE OF TECHNOLOGY THAMMASAT UNIVERSITY

LETTER OF RECOMMENDATION

Please mail directly to: Graduate Admission Officer, Graduate Study Section, Registration Office

Sirindhorn International Institute of Technology, Thammasat University,

P.O. Box 22, Thammasat Rangsit Post Office, Pathumthani 12121, Thailand.

(Applicant complete top section)

Applicant’s Name: Mr./Ms. ___________________________________________________________________________________

First Last

Address: ___________________________________________________________________________________________________

Application for: ___________________ __________________ ______________________________________________________

Month Year Proposed Major

Applicant’s Signature ______________________________________________________ Date ____________________________

To the Respondent: Please discuss the candidate’s intellectual ability and research potential. Also, comment on character,

personality, and ability in reading,writing, and speaking English. It would be extremely helpful too if you could check, the

comparative assessment, boxes below.

Please feel free to continue on the other side of this sheet as necessary _____________________________________________________________________________________________________________

Estimated rank of applicant in the department out of students.

How would you compare the applicant to his/her peer group in the following areas?

Truly

Exceptional Outstanding

Above

Average Average

Below

Average

No

Information

Intellectual Ability

Writing Ability

Speaking Ability

Academic Preparation

Motivation

Maturity

I have known the applicant for approximately _________________________________(years and months)

During this time the applicant was an: Undergraduate student ______________ Advisee of mine _____________

Other (please specify) _________________________________________________________

In summary, I would give the applicant a: [ ] Very Strong [ ] Strong [ ] Average [ ] Below Average recommendation.

Respondent’s name ______________________________Title _________________________ Last Degree_____________________

Affiliation ___________________________________________________________________________________________________

Phone _____________________________________ Fax ________________________________e-mail________________________

Do you know any person at SIIT ? _____________________ Name ___________________________________________________

Signature _________________________________________________________ Date_______________________________________